S72.90XQ (Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion) compared with S82 (Fracture of lower leg, including ankle), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“fracture of lower leg and ankle (S82.-)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S72.90XQ carries an Excludes2 note covering S82: “fracture of lower leg and ankle (S82.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S72.90XQUnspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion | S82Fracture of lower leg, including ankle | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S82.001A, S82.001B, S82.001C, S82.001D, S82.001E |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion is a billable ICD-10-CM diagnosis code (S72.90Q). | Fracture of lower leg, including ankle is a non-billable ICD-10-CM category code (S82). |
| 7th character | The appropriate 7th character is to be added to all codes from category S72 | The appropriate 7th character is to be added to all codes from category S82 |
| Includes | — | fracture of malleolus |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources